Skip to content

Search Turning Point

    Free · Confidential · Available 24/7

    Cocaine and crack help in New Jersey.

    If you are abusing cocaine/crack, we will address your needs in one of our residential treatment programs – there is no detox for cocaine or crack. Our primary focus and plan will focus on helping you address the behaviors, coping challenges, and life consequences associated with your addiction.

    • Short- and Long-Term Residential treatment and co-occurring disorders
    • A long track record of success — we've helped New Jerseyans get sober for 50+ years
    • Low to no cost — Medicaid accepted, plus most major insurance
    • Compassion and Empathy - No judgment, no pressure, no obligation

    Key points

    • There are no FDA approved medications for cocaine use disorder, so residential treatment is the typical recommendation
    • If there are underlying mental health challenges, we can address this while you are in treatment.
    • Stopping cocaine use typically isn't medically dangerous. Stopping disrupts your mood and stimulates major cravings/obsessions.
    • Fentanyl now turns up in cocaine, share what you are taking and how you are feeling – especially when you stop.
    • If you are also using alcohol or opioids or benzos, you will need medically monitored withdrawal first.

    The short answer

    Where can I get treatment for cocaine addiction in New Jersey?

    Turning Point provides residential and co-occurring treatment for cocaine and crack addiction at our Paterson, New Jersey, facility. There are no FDA approved medications for cocaine use disorder, so treatment centers on behavior modification, education and developing new coping skills and tools. Our admissions team will assess your needs, share options, and guide your decision making on the first call.

    Why cocaine is so hard to stop using.

    Cocaine is a stimulant made from the coca plant.  Powder cocaine is snorted or injected.  Crack is the same drug processed into a form that can be smoked, which makes it reach the brain faster and the “high” wear off faster (NIDA). Both are treated the same manner.

    With repeated use the brain's reward pathway becomes less responsive to ordinary daily simulations, while the circuits handling stress become more sensitive. So, the longer you use, the less reward you feel and the more you need to use – and so on. That combination is the cycle people describe when they get stuck in.  

    This creates an intense mental obsession and compulsion to keep using and chasing that reward. What usually brings people to treatment isn't a single incident, but rather a growing and never-ending trend of use and the life consequences associated with that use.

    girl looking out a window

    The risks that are genuinely urgent.

    Cocaine puts sudden strain on the heart and blood vessels.  People arrive at emergency departments with chest pain, dangerously high blood pressure and heart rate, agitation, seizures, overheating, and neurological symptoms.  These are not consequences that build up over decades.  They can happen at any point at any point of use or “dosage” 

    Someone has chest pain, a seizure, confusion, an exceedingly high temperature or symptoms that look like a stroke, call 911 and say what was taken.  

    The second risk is newer.  Illegally made fentanyl is now mixed into cocaine as well as into heroin and methamphetamine, often without the seller or the buyer knowing (NIDA).  This uncertainty creates the possibility of a fatal opioid overdose that may happen even with someone who has never knowingly used an opioid.  Naloxone/Narcan is worth having available for that reason alone and is available without a prescription.

    Rain on dark glass at night with city lights blurred into formless circles of colour

    What stopping cocaine use is like.

    Stopping cocaine isn't usually medically dangerous the way alcohol or benzodiazepine withdrawal can be.  What happens when you stop can be what is called a crash: exhaustion, heavy sleep, depression, anxiety, and cravings that arrive in sudden waves because of the long-term structural changes in one’s brain associated with continued use and a  (NIDA). 

    People describe the first stretch as a continuous feeling that nothing is worth doing.  This passes, but navigating this is made significantly easier if you are in a controlled environment like residential treatment that helps you build new coping skills and education.

    Over the longer term, (1-10 weeks) the brain is starved of dopamine from abuse, and is struggling to rebuild its natural supply.  Ordinary life feels completely flat (anhedonia), you can feel irritable, have poor concentration, erratic sleep patterns, and low motivation.

    This period is when relapses are at its highest risk because your cravings do not decline linearly; instead, they fluctuate wildly and hit in the powerful, unexpected waves mentioned earlier, often triggered by stress or old environments.  Again, this is the value of a controlled environment like residential substance abuse treatment programs. 

    man with his hands over his eyes

    What treatment looks like at Turning Point.

    1. Residential treatment

      During residential treatment, Turning Point works with you to assess your behaviors, decision making, life skills, family relations and thought processes that led to your substance use. You live onsite and receive structured, around-the-clock support to begin to address your substance abuse, and in parallel your mental health or medical issues requiring further stabilization. Short-term is typically 2–4 weeks and long-term is typically 3–6 months.

    2. Co-occurring disorders and medical stability

      While you are in residential treatment, Turning Point will assess you from a mental and physical health perspective to determine the severity and treatment necessary for any disorders that may interfere with your sobriety. These will be built into your treatment plan and addressed accordingly.

    people hugging one another

    Request a callback

    Let's talk about what comes next.

    Treatment for cocaine and crack centers on residential care, counseling and new ways of coping. Leave your details and our admissions team will call you back to talk through what that would look like for you. Free and confidential.

    Use one only you can see, if that matters for you.

    Covered more often than people expect.

    We're a nonprofit and a Medicaid Presumptive Eligibility certified facility. We'll check your coverage for free, while you're on the phone, before you commit to anything.

    Cocaine treatment questions.

    Is there a medication assisted treatment (MAT) for cocaine addiction?

    No. There are no FDA approved medications for cocaine use disorder. Behavioral treatment in residential or outpatient settings is what the evidence supports and has proven effective.

    Do I need detox for cocaine?

    Cocaine withdrawal is not usually managed as a medical detox, the way alcohol, opioid or sedative withdrawals are. If you're also drinking, taking benzos, or using opioids, you may need medically monitored withdrawal. The assessment will determine your course of treatment. You may also be using Fentanyl laced Cocaine/Crack without your knowledge which will be identified through a simple drug test during the admissions process.

    Is crack treated differently from powder cocaine?

    No. It is the same drug in a different form, and the treatment is the same. Tell the clinical team how you have been using it, because there may be physical health side effects that may need addressing as part of your treatment plan.

    How long does the crash last?

    The exhaustion and heavy sleep usually pass within a few days. Low mood, poor concentration, and cravings can take longer lasting 1-10 weeks.

    Could there be fentanyl in cocaine?

    Yes. Fentanyl is mixed into cocaine as well as into heroin and methamphetamine, often without anyone’s knowledge, making an opioid overdose a possibility for someone who has never knowingly used opioids. Naloxone/Narcan is available without a prescription and should always be kept handy.

    Will my insurance cover cocaine rehab in New Jersey?

    Yes. We accept Medicaid and most major insurance; there are state funding options available and even a self-pay sliding scale option if necessary. Our admissions team checks your coverage for free on the first call.

    Is this confidential?

    Yes. Addiction treatment records are protected under 42 CFR Part 2, which is stricter than HIPAA fully protecting your confidentiality from whomever you choose including your employer or family.

    Talk to someone today.

    Free, confidential, and without judgment. Our admissions team answers the phone 24 hours a day.